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Exam Code: ACCNS-N
Exam Name: Neonatal Clinical Nurse Specialist (wellness through acute care)
Total number of items: 175 multiple-choice questions
Number of scored items: 150 (the remaining 25 are pretest/pilot items)
Time allotted: 3½ hours (210 minutes)
Passing / cut score: 98 correct responses (out of the 150 scored items)

Cardiovascular
- Cardiac surgery
- Congenital heart defects
- Dysrhythmias
- Heart failure
- Patent ductus arteriosus (PDA)
- Pulmonary edema

Respiratory
- Acute respiratory failure
- Air-leak syndromes (e.g.- pneumothorax-pulmonary interstitial emphysema [PIE]-pneumopericardium- pneumomediastinum)
- Airway obstruction
- Apnea of prematurity
- Aspirations (e.g.- meconium aspiration)
- Bronchopulmonary dysplasia
- Congenital abnormalities
- Exacerbation of chronic lung disease
- Persistent pulmonary hypertension of thenewborn (PPHN)
- Pulmonary hemorrhage
- Pulmonary infections
- Respiratory distress syndrome (e.g.- surfactantdeficiency)
- Thoracic surgery (e.g.- pneumonectomy-lobectomy- tracheal surgery)
- Transient tachypnea of the newborn

Endocrine/Hematology/Gastrointestinal/Renal/Integumentary

- Endocrine
- Hyperglycemia
- Hypoglycemia
- Infant of diabetic mother

- Hematology/Immunology/Oncology
- Blood group incompatibilities
- Coagulopathies (including thrombocytopenia)
- Hyperbilirubinemia
- Polycythemia

- Gastrointestinal
- Bowel infarction/obstruction/perforation
- Gastroesophageal reflux
- GI abnormalities
- GI motility disorders
- GI surgeries
- Hepatic failure
- Feeding intolerance
- Necrotizing enterocolitis

- Renal / Genitourinary
- Acute kidney injury
- Congenital renal/genitourinary abnormalities
- Infections

- Integumentary
- Congenital abnormalities
- Dermatologic disorders
- Infectious skin disorders
- Pressure injuries
- Skin integrity protection for extremely low
- birth-weight infants
- Wounds (surgical and nonsurgical)

Musculoskeletal/Neurology/Psychosocial

- Musculoskeletal
- Bone disease (e.g.- osteopenia- osteogenesisimperfecta)
- Congenital anomalies
- Functional issues (e.g.- immobility- birthinjuries)
- Infections (e.g.- cellulitis)

- Neurology
- Congenital neurological abnormalities
- Encephalopathy
- Head and brain trauma/injury
- Hydrocephalus
- Hypoxic ischemic encephalopathy
- Increased intracranial pressure
- Intracranial hemorrhage/intraventricularhemorrhage
- Neurologic infectious diseases
- Periventricular leukomalacia
- Seizure disorders
- Stroke

- Psychosocial/Behavioral/Cognitive Health Issues
- Behavioral state (e.g.- NPASS- Brazelton- stressin extremely low birth weight infants)
- Developmental care (e.g.- skin to skin care)
- Maltreatment (abuse/neglect/medicalnonadherence)

Multisystem

- Factors Influencing Health Status (riskassessment- prevention and wellness)
- Discharge planning
- Feeding (e.g.- breast- cue-based- techniques)
- Monitoring anthropometric measurements
- Safety (e.g.- safe sleep)
- Screening (e.g.- hearing- CCHD- metabolic-angle tolerance testing- ROP)
- Wellness promotion (e.g.- normal variants-immunizations)
- Developmental care (developmentalmilestones)
- Social determinants of health (e.g.- access tocare- socioeconomic factors- health literacy)
- Population health (e.g.- lack of prenatal care-food deserts)
- Team-based care
- Genetics (e.g.- metabolic screening- recurrencerisk- life planning)

- Multisystem
- Acid-base imbalances
- End-of-life issues
- Fluids- electrolytes and nutrition
- Hospital acquired conditions (e.g.- CLABSI-CAUTI- VAP/VAE)
- Hypovolemic shock
- Iatrogenic drug exposed newborn
- Inborn errors of metabolism
- Infectious diseases (e.g.- congenital viral-bacterial- hospital acquired infections)
- Low birth weight/prematurity (including latepreterm populations)
- Maternal drug exposed newborn
- Maternal-fetal complications (e.g.- HELLP-preeclampsia)
- Pain
- Palliative care issues
- Sensory impairment (e.g.- hearing loss)
- Sepsis/septic shock and MODS
- Thermoregulation
- Transition to extrauterine life
- Antimicrobial stewardship